| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.53 | $65.98 | $81.55 | |
Cigna
| Facility | $94.33 | $94.33 | $94.33 | |
Cigna
| Professional | $32.29 | $52.11 | $148.97 | |
Kaiser Permanente
| Professional | $62.27 | $79.12 | $135.53 | |
United
| Professional | $28.97 | $44.99 | $66.89 |